Drive the successful implementation of claims within a large QNXT transformation. Lead planning, execution, and governance while ensuring alignment across teams and accurate deliverables for an impactful and timely go-live.

Elevate revenue integrity and clinical outcomes by leading comprehensive risk adjustment strategies, ensuring compliance and high performance in quality metrics, while collaborating effectively across sectors to enhance Medicare Advantage processes.

Develop and implement strategic pharmacy initiatives to enhance clinical quality and optimize pharmacy spend, collaborating with key stakeholders to innovate evidence-based programs that balance quality care with financial stewardship.

Lead Medicare Advantage claims operations, drive compliance, optimize performance, and develop high-performing teams to ensure accurate adjudication and enhance member satisfaction in a rapidly evolving healthcare environment.

Join a team that's enhancing healthcare quality through innovative UI automation. Contribute to the development of scalable solutions, ensuring comprehensive testing and validation for enterprise applications in a collaborative Agile environment.